经皮肾镜取石术后尿胸的外科治疗
Surgical Management of Urinothorax After Percutaneous Nephrolithotomy.
作者信息
Lou Johanna, Scalia Dominick M, Ghanem Yazid, Minakata Kenji, Shersher David
机构信息
Department of Surgery, Cooper University Hospital, Camden, New Jersey.
Cooper Medical School of Rowan University, Camden, New Jersey.
出版信息
Ann Thorac Surg Short Rep. 2023 Dec 9;2(2):175-177. doi: 10.1016/j.atssr.2023.11.018. eCollection 2024 Jun.
Urinothorax is a rare form of pleural effusion that can occur after percutaneous instrumentation of the genitourinary tract. We report on the surgical management of a 75-year-old man with a past surgical history of 3-hole esophagectomy who was afflicted with a loculated urinothorax complicated by sepsis after a supracostal percutaneous nephrolithotomy. We demonstrate the efficacy of pleurodesis and decortication in the management of complicated urinothorax that is refractory to medical management.
尿胸是一种罕见的胸腔积液形式，可发生于泌尿生殖道经皮器械操作后。我们报告了一名75岁男性的手术治疗情况，该患者既往有三切口食管切除术史，在经肋上缘经皮肾镜取石术后发生局限性尿胸并伴有脓毒症。我们证明了胸膜固定术和纤维板剥脱术在治疗内科治疗无效的复杂性尿胸方面的有效性。
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